Neilsen, William M
Neilsen, William M is an individual health care provider with primary practice located at 67 Kendall St 120 Clifton Springs Professional Park, Clifton Springs NY 14432-9701. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Neilsen, William M can be contacted via phone (315) 462-5633.Contact Information
Primary practice address
67 Kendall St 120 Clifton Springs Professional Park
Clifton Springs NY 14432-9701
Phone: (315) 462-5633
Fax: (315) 462-3196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 036016 | New York |
Profile Details
| NPI number | 1558342162 |
|---|---|
| LBN Legal business name | Neilsen, William M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558342162 | NPPES |
| New York | MEDICAID | 00715797 |
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